Provider Demographics
NPI:1730799719
Name:PATEL, NEHA (DDS)
Entity type:Individual
Prefix:DR
First Name:NEHA
Middle Name:
Last Name:PATEL
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N ESTRELLA PKWY STE B1
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-4136
Mailing Address - Country:US
Mailing Address - Phone:623-688-5408
Mailing Address - Fax:
Practice Address - Street 1:500 N ESTRELLA PKWY STE B1
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-4136
Practice Address - Country:US
Practice Address - Phone:623-688-5408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0620831223G0001X
AZD012410122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice